Thursday, March 26, 2009

Question about water birth and other pain coping methods


Question
Does a water birth really reduce the pain?
Natural birth seems like the right option for me. What are some ways to reduce the pain?

Also, when I get my period I have the most horrendous cramps in the world. Would that mean that labour would be pretty bad?


Answer
There are really so many ways to reduce pain in labor. What works for some women may not work for others. Every woman has a different background of experiences, and every labor experience is different. It would be helpful for you to talk with someone experienced about all your preferences, current coping strategies, fears, knowledge base etc.

Having a doula (professional labor support) to discuss things with before labor and to be with you in labor is very helpful. Several studies have shown that doulas reduce the need for epidurals, cesareans, and other interventions.

Another important factor is the doctor or midwife that you choose. Find out how they practice. If you have a doctor who practices with a high rate of interventions - cesareans, epidurals, inductions, etc, you may as well give up your hope for a natural birth.
Medical interventions are necessary and helpful in certain situations, but many practitioners overuse them.
If you choose a caregiver or a hospital that routinely restricts women to lying in bed, using continuous fetal monitoring, or inductions for no medical reason other than being past 40 weeks, then labor is going to be extremely painful. Lying back is the most painful position in labor, and induced labors are way more painful than natural labors.

Also, fear and the adrenalin that it produces increases the sensation of pain greatly. Feeling safe, cared for and supported helps women relax. Having caregivers they trust, and trusting that their bodies know how to give birth. Going within themselves and listening to their bodies is really helful for natural birth. When women in labor feel safe, they produce endorphin hormones. If you've ever run a marathon or something, you'll know that initially your muscles will hurt, but after a while the endorphins kick in and you start to feel euphoric. You don't notice the pain so much, you just feel great.
In labor that can happen too, and the baby gets all the moms hormones, so it feels it too.

Have you noticed how some women say the pain of labor was the worst experience of their lives, while some women say labor was the best experience of their lives.
This difference is due to the different hormones.
Fear, anxiety = adrenalin = slowing down labor and severe pain.
Safety, trust, support, love = oxytocin and endorphins = less pain and feeling great.

Once you've got the basics, you can try out some things women have found useful for dealing with the intensity of labor - moving, changing positions, upright positions, resting in side lying positions or kneeling forward over a chair or exercise ball or their partner, hot packs, ice packs, showers, warm baths, massage, counter pressure on the back and hips, moaning, swaying, making deep sounds, kissing, breathing, visualization, swearing :> , squeezing their partners hand till it turns blue :> ...

Attitude is important too -
The tendency is that when a contraction is starting, to tense up and
resist and think, "oh no, another one. shit!"
But tensing up makes the sensation of pain greater.
It's useful to think, "oh good, another one. That's one more contraction closer to having my baby in my arms. My body is doing great work." Then after the contraction take a deep breath and release all the tension in your body.

A lot of women have found laboring in warm water extremely useful in helping them relax into their bodies and re-energise when tired. The buoyancy helps them change positions easily too. It can help make it easier to move through labor in the water. On the other hand, if has a lot of anxiety, fear, or other issues, getting into water won't make a difference in and of itself. I hope that makes sense :>

As for your period cramps, I don't think that means a more painful labor. I think it means you've developed a bunch of coping strategies that can help you in labor.

Let me know if you have any more questions,

Kaurina JeerisRajan
Childbirth Central
childbirthcentral@gmail.com

Reply:



I greatly appreciate your response. I feel so much more relaxed after I had read your post and most of the information in regards to stress/pain relief I could relate to. Like taking a shower greatly relieves stress and pain for me.

There was not a thing that you had said that I didn't find useful.

Thank you again!

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